Forms

Please download, print and fill out the appropriate intake forms. Present the completed forms upon arrival to your first appointment with OASIS Mission Physiotherapy. We cannot guarantee the security of your personal information if you choose to email us your completed documents.

All new clients or clients who have not been in the clinic in the last 7 years must complete the Complete Intake Form.

If your medical history has changed since you were last in and you would like to update us, please complete the Medical History Form.

If you would like us to attempt to make a claim to your extended health benefit plan (CINUP, Chambers of Commerce, Cowan, Desjardins, First Canadian, Great West Life, Industrial Alliance, Johnson Inc., Johnston Group, Manulife, Maximum Benefit, or Sun Life) on your behalf, please complete the Assignment of Benefits Form. We can put a claim into Pacific Blue Cross, Green Shield, and SSQ on your behalf without the Assignment of Benefits Form.